Individual provider Active NPI

Alvydas Kukleris, DDS

  • Dentist
  • Schertz, TX
National Provider Identifier
1770839599
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28311 Issued in TX
Practice address
1248 FM 78
Suite 105
Schertz, TX 78154-2465
Phone
(210) 375-5256
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28311 TX Primary

Addresses

Primary practice location

1248 FM 78
Suite 105
Schertz, TX 78154-2465

Mailing address

1248 FM 78
Suite 105
Schertz, TX 78154-2465
Phone (210) 375-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209002567 TX Order and Referring Only - DentistPractitioner - DentistPractitioner - Oral Surgery 9436471083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28311TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Double Arc Dental Past Accepting new patients
Vsa Dental PLLC PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1770839599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FM 78",
            "address_2": "SUITE 105",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542465",
            "telephone_number": "210-375-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FM 78",
            "address_2": "SUITE 105",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542465",
            "telephone_number": "210-375-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLERIS",
        "first_name": "ALVYDAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.